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Association of stress and spiritual suffering in the primary caregiver of mechanically ventilated patients


Hospice & Palliative Medicine International Journal
Ortega Jiménez Mayra del Carmen,1 García Campos María de Lourdes,2 Ortega Jiménez Marcela,1 Beltrán Campos Vicente,2 Padilla Raygoza Nicolás,2 Ramírez Gómez Xóchitl Sofia,3 Jiménez García Sandra Nelly4

Abstract

Introduction:The patient with Ventilation Mechanics (VM) becomes completely dependent on the care of the health service, the family becomes the primary caregiver, facing an alteration of their own welfare, disrupting their emotional environment under stress and S ufrimiento E spiritual (I know). Justification Within the approach to the care of the patient with Mechanical Ventilation (MV) assisted and its possible complications derive from being with a sedation, muscle relaxation, not being able to communicate and being away from their relatives they become dependent on health personnel, where nursing and especially family members play a fundamental role, the latter face to a strange environment that alters your spiritual and emotional well-being. 
Objectives:To determine the association of spiritual suffering and stress in the primary caregiver of the patient with MV in the hospitalization area. 
Methodology: Quantitative, correlational and cross-sectional study. It was held at a General Hospital in Guanajuato, Mexico. The sample 49 relatives of patients with MV (80% accuracy and 95% reliability) non-probabilistic sampling, by availability. The Instrument was used: Identification of Spiritual Suffering of Primary Caregivers of Patients with Mechanical Ventilation (ISECPPVM), E scala de E strés P ercibido (EEP), salivary cortisol sample was taken. The chi-square test was used for descriptive statistics for its ordinal values, all with a level of significance of P 0.05.
Results:Average age was 39.37±14.2 years, predominantly female 79.6%, main diseases pneumonia 20.4%.Level of SE, of the main caregivers of patients with MV, was moderate 73.5%.Stress was identified by means of the EEP questionnaire, the results were 51% high, the average salivary cortisol CTR Salivary Cortisol ELISA Kit was.131504 with a standard deviation of.074769.The chi-square test indicates that there is a significant association (p=0.001) but the sample should be considered to be enlarged.

Keywords

spirituality, spiritual, pain, patients, family relationships, stress, trauma, respiratory, anxiety, complications, environment, correlational, quantitative, suffering, participation, caregiver

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